CTICasesTraumatic IVC Avulsion
Imaging findings
CT chest and abdomen in a severe trauma patient shows active contrast extravasation at the junction of the inferior vena cava (IVC) and the right atrium, associated with a massive hemoperitoneum and hemopericardium, indicating IVC avulsion.
Key takeaways
Avulsion of the IVC from the right atrium is a highly lethal trauma injury. It typically results from severe deceleration or crush injury and requires immediate surgical intervention to prevent exsanguination.
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